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Role Description

We are seeking a dynamic and experienced technician trainer to join our team. As a technician trainer, you will play a pivotal role in developing and delivering training programs that enhance knowledge, operational efficiency, and customer service skills to our technician staff.

• Facilitate the onboarding process for new hires and provide comprehensive training sessions for technicians on prior authorization systems, processes, and procedures utilizing a variety of training methods.
• Develop and update training materials, resources, verbiage templates, job aids, and communicate updates to the team.
• Ensure that training content is accurate, up-to-date, clinically relevant, compliant with federal and state regulations, and internal policies.
• Maintain detailed records of training sessions, participant attendance, and training materials for auditing and reporting purposes.
• Assess performance of technicians through evaluations, quizzes, and practical assessment to identify areas for improvement and provide constructive feedback.
• Collaborate with technician managers, supervisors, and other relevant stakeholders to identify training needs, performance gaps and ensure alignment with company goals.
• Perform peer-to-peer reviews with providers when requested.
• Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines.
• Make outbound calls to providers to obtain additional clinical information to ensure substantial clinical information exists to reach a clinical determination for pharmacist review.
• Proactively obtain clinical information from prescribers, referral coordinators, and appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review.
• Review and analyze pharmacy claims data for proactive outreach and intervention.
• Work with leadership on other responsibilities, projects, implementations, and initiatives as needed.
• Ability to work in a fast-paced environment with shifting priorities.

Qualifications

• 2+ years of pharmacy technician experience in Pharmacy Benefit Management (PBM) setting.
• National Certified Pharmacy Technician (CPhT) license, required.
• Previous experience developing and delivering training programs.
• Experience handling prior authorization requests/understanding of prior authorization requirements required.
• Solid understanding of prior authorization operations, Federal and State laws, and regulations.
• Excellent written communication and presentation skills to effectively convey complex information to diverse audiences.
• Excellent analytical skills and attention to detail.
• Ability to collaborate effectively with cross-functional teams and adapt to changing priorities.
• Proficiency in using e-learning platforms, multimedia tools, and Microsoft Office Suite.
• Have the following internet connectivity: DSL, cable modem or fiber with a wired connection to device (wi-fi not allowed). Internet speed of one gigabyte (940bps) is required.

Requirements

• This range represents the low and high end of the anticipated base salary range for the NY - based position. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and if the location of the job changes.
• Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Benefits

• Salary Range: $72,000 - $85,000 USD

Company Description

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans.

• Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers.
• Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans.
• Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.